Molecular Network Basis of Invasive Pituitary Adenoma: A Review

Cases with pituitary adenoma comprise 10–25% of intracranial neoplasm, being the third most common intracranial tumor, most of the adenomas are considered to be benign. About 35% of pituitary adenomas are invasive. This review summarized the known molecular basis of the invasiveness of pituitary ade...

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Main Authors: Qi Yang, Xuejun Li
Format: Article
Language:English
Published: Frontiers Media S.A. 2019-01-01
Series:Frontiers in Endocrinology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fendo.2019.00007/full
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author Qi Yang
Xuejun Li
author_facet Qi Yang
Xuejun Li
author_sort Qi Yang
collection DOAJ
description Cases with pituitary adenoma comprise 10–25% of intracranial neoplasm, being the third most common intracranial tumor, most of the adenomas are considered to be benign. About 35% of pituitary adenomas are invasive. This review summarized the known molecular basis of the invasiveness of pituitary adenomas. The study pointed out that hypoxia-inducible factor-1α, pituitary tumor transforming gene, vascular endothelial growth factor, fibroblast growth factor-2, and matrix metalloproteinases (MMPs, mainly MMP-2, and MMP-9) are core molecules responsible for the invasiveness of pituitary adenomas. The reason is that these molecules have the ability to directly or indirectly induce cell proliferation, epithelial-to-mesenchymal transition, angiogenesis, degradation, and remodeling of extracellular matrix. HIF-1α induced by hypoxia or apoplexy inside the adenoma might be the initiating factor of invasive transformation, followed with angiogenesis for overexpressed VEGF, EMT for overexpressed PTTG, degradation of ECM for overexpressed MMPs, creating a suitable microenvironment within the tumor. Together, they form a complex interactive network. More investigations are required to further elucidate the mechanisms underlying the invasiveness of pituitary adenomas.
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spelling doaj.art-475f0a6509c6435f8363065fc12d3e752022-12-22T02:29:46ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922019-01-011010.3389/fendo.2019.00007421384Molecular Network Basis of Invasive Pituitary Adenoma: A ReviewQi YangXuejun LiCases with pituitary adenoma comprise 10–25% of intracranial neoplasm, being the third most common intracranial tumor, most of the adenomas are considered to be benign. About 35% of pituitary adenomas are invasive. This review summarized the known molecular basis of the invasiveness of pituitary adenomas. The study pointed out that hypoxia-inducible factor-1α, pituitary tumor transforming gene, vascular endothelial growth factor, fibroblast growth factor-2, and matrix metalloproteinases (MMPs, mainly MMP-2, and MMP-9) are core molecules responsible for the invasiveness of pituitary adenomas. The reason is that these molecules have the ability to directly or indirectly induce cell proliferation, epithelial-to-mesenchymal transition, angiogenesis, degradation, and remodeling of extracellular matrix. HIF-1α induced by hypoxia or apoplexy inside the adenoma might be the initiating factor of invasive transformation, followed with angiogenesis for overexpressed VEGF, EMT for overexpressed PTTG, degradation of ECM for overexpressed MMPs, creating a suitable microenvironment within the tumor. Together, they form a complex interactive network. More investigations are required to further elucidate the mechanisms underlying the invasiveness of pituitary adenomas.https://www.frontiersin.org/article/10.3389/fendo.2019.00007/fullangiogenesisendocrinologyinvasivenessmolecular networkpituitary adenoma
spellingShingle Qi Yang
Xuejun Li
Molecular Network Basis of Invasive Pituitary Adenoma: A Review
Frontiers in Endocrinology
angiogenesis
endocrinology
invasiveness
molecular network
pituitary adenoma
title Molecular Network Basis of Invasive Pituitary Adenoma: A Review
title_full Molecular Network Basis of Invasive Pituitary Adenoma: A Review
title_fullStr Molecular Network Basis of Invasive Pituitary Adenoma: A Review
title_full_unstemmed Molecular Network Basis of Invasive Pituitary Adenoma: A Review
title_short Molecular Network Basis of Invasive Pituitary Adenoma: A Review
title_sort molecular network basis of invasive pituitary adenoma a review
topic angiogenesis
endocrinology
invasiveness
molecular network
pituitary adenoma
url https://www.frontiersin.org/article/10.3389/fendo.2019.00007/full
work_keys_str_mv AT qiyang molecularnetworkbasisofinvasivepituitaryadenomaareview
AT xuejunli molecularnetworkbasisofinvasivepituitaryadenomaareview